title: Laparoscopic central pancreatectomy with pancreaticojejunostomy: preliminary experience with 8 cases.
abstract: BACKGROUND
  Central pancreatectomy has been accepted as an alternative procedure for treating benign or low-grade malignant tumors in the pancreatic neck or proximal body of the pancreas, which preserves pancreatic parenchyma and function. In this study, we present our experience of laparoscopic central pancreatectomy with pancreaticojejunostomy.
  
  
  METHODS
  From April 2011 to February 2013, 8 patients underwent laparoscopic central pancreatectomy with a Roux-en-Y modified "dunking" or duct-to-mucosa pancreaticojejunostomy for benign or low-grade malignant tumors in the pancreatic neck or proximal body of the pancreas at the Department of General Surgery, Sir Run Run Shaw Hospital, Hangzhou, China. Surgical procedure, postoperative course, and follow-up data were collected.
  
  
  RESULTS
  Laparoscopic central pancreatectomy was performed successfully in all the patients. The pancreaticojejunostomy was executed with a modified "dunking" pancreaticojejunostomy (n=7) or duct-to-mucosa pancreaticojejunostomy (n=1). The mean operative time was 286±27 minutes (range, 250-330 minutes), with a mean blood loss of 57±21 mL (range, 30-100 mL). Mortality was 0%, and perioperative morbidity was 37.5% (pancreatic fistula [grade A], bleeding of a splenic vein branch, and retroperitoneal infection). The median postoperative hospital stay was 10 days (range, 6-38 days). At a median follow-up of 7.5 months (range, 2-24 months), all patients were alive without any exocrine or endocrine insufficiency or recurrence.
  
  
  CONCLUSIONS
  Laparoscopic central pancreatectomy is feasible and safe. The modified "dunking" pancreaticojejunostomy can be performed safely in this approach.
authors.affiliation: Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University , Hangzhou, Zhejiang Province, China .
authors.forename: Renchao
authors.initials: R
authors.lastname: Zhang
authors.forename: Xiaowu
authors.initials: X
authors.lastname: Xu
authors.forename: Jiafei
authors.initials: J
authors.lastname: Yan
authors.forename: Di
authors.initials: D
authors.lastname: Wu
authors.forename: Harsha
authors.initials: H
authors.lastname: Ajoodhea
authors.forename: Yiping
authors.initials: Y
authors.lastname: Mou
mesh_terms: D000328:Adult; D000368:Aged; D015331:Cohort Studies; D003537:Cystadenoma / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D010180:Pancreatectomy; D010190:Pancreatic Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D010193:Pancreaticojejunostomy; D016896:Treatment Outcome